The patient is a 36-year-old individual who sustained an injury on 06/09/2017. The mechanism of injury was not provided for review.
The patient was diagnosed with low back pain, a strain of the muscle, fascia and tendon of lower back, and sciatica on the left side.
The pain was improved by medication and knee brace.
Medical records reviewed included Lynne Domhoff, PA - Requests for Authorization DWC Form RFA and Primary Treating Physician’s Progress Report (PR-2) 8/22/2017
Philip Aquino - Managed Care Services Referral Form8/24/2017.
According to the Primary Treating Physician’s Progress Report (PR-2) dated 8/22/2017, the patient complained of a left knee pain described as constant, aching and moderate. The pain was associated with
Dr.Bain ordered a CT scan of Cynthia’s chest to rule out a possibility of an aneurism. Dr. Bain also did another CT scan of Cynthia’s abdomen to evaluate her liver. Additional lab work and thyroid testing was done. Around 5:00pm she was discharged with instructions to follow up with her primary care physician Leah Avera, M.D within one week. In Cynthia’s discharge summary that was signed by Dr. Pesante, states, in part, "it just seems like Cynthia’s problem may have more so been either some kind of infectious process or possibly a thyroid
On History- The patient was a 49-year-old Caucasian male with a chief complaint of pain and weakness in R shoulder abduction and external rotation (dominant shoulder). He was a retired baseball player. He has been a baseball pitcher for 12 years before he retired 5 years
The patient is a 45 year old male who was in a car accident that
What? The patient is 65-year-old man Mr. John Douglas who is suffering from dysphagia and have been admitted to the surgical ward for insertion of a percutaneous endoscopic gastrostomy (PEG). Apart from that, he is a Type 1 diabetes patient and has weakness in his right leg and arm because of right-sided hemiplegia. He is thin in appearance and has stage 1 pressure sore on his right heel.
J.P., a 58 year old female, presents to the Emergency Room on March 18th. She has a past medical history of cervical cancer, atheroembolism of the left lower extremity, fistula of the vagina, peripheral vascular disease, neuropathy, glaucoma, GERD, depression, hypertension, chronic kidney disease, and sickle cell anemia. She complains of right lower extremity pain accompanied by fatigue, a decreased appetite, increased work of breathing, burning urination, and decreased urine output for three days. Upon admission, a complete physical assessment was performed along with a blood and metabolic panel. The assessment revealed many positive and negative findings.
Additionally, her radial pulse in her right arm was diminished. Her mechanical ventilator was on assist control with a tidal volume of 450ml, respiratory rate set at 12 breaths per minuet, positive end-expiratory pressure of 5, fraction of inspired oxygen at 40 percent and an end tidal carbon dioxide level of 40mmHg. She had an oral temperature of 98.5 degrees Fahrenheit, an apical heart rate of 67 beats per minute; her respiratory rate was 12 breaths per minuet, with a oxygen saturation of 98 percent and blood pressure of 127/39. Her last bowel movement was on April 2nd and is currently NPO on continuous tube feedings of Benefiber. She has a red spot on her sacrum due to
During the review period, the claimant was diagnosed with cervical spine radiculopathy, pain in the right shoulder, a strain of the muscle, fascia, and tendon of the long head of the biceps, and right arm, and intervertebral disc degeneration of the lumbosacral spine.
The Provider Manual summarizes the definitions of FWA set forth in 1 TAC §371.1 as follows: Waste is defined as activities “involving payment or the attempt to obtain payment…where there was no intent to deceive or misrepresent, but…poor or inefficient methods results in unnecessary costs” to Medicaid. Abuse is defined as activities “that unjustly enrich a person…but where the intent to deceive is not present,” or “an attempt…to unjustly obtain a benefit payment.” Finally, the Provider Manual defines fraud as “an intentional misrepresentation that an individual knows to be false or does not believe to be true and makes, knowing that the representation could result in some unauthorized benefit….”
Bettina makes the effort to connect with her clients. Bettina is passionate about the DWC mission of ending homelessness for women. Bettina has been working very hard to help her clients get housing and retain housing. Bettina needs to work on connecting more with the DWC community. This will help her learn more about the organization and partner more with the staff. Bettina needs to be more compassionate and understanding to her clients. Bettina shows dignity in the work she does with her clients. Bettina need to work on being more creative when it comes to interventions for solving problems and crises. Bettina need to work on her flexibility to provide services to all of her clients. Bettina needs to work on empowering her clients to become self-sufficient.
S: TM reports Acute Left Knee Pain. According to the TM, she was stepping into cell down the stairs and sudden pain shot though her left knee to mid tight. Reports the initial pain was sharp shooting like pain; 10/10. After Ice X 20 minutes helped to decreased her pain to 8-9/10. Now TM describes her pain as pulsation, located in her lateral and back of her knee. TM denies previous injury to the left knee. TM denies numbness, tingling, or loss of movement in her left leg.
Simple musculoskeletal back pain has symptoms of pain in the lumbrasacral area of the back (Jackson & Simpson, 2006). The upper thighs and knees are also known to be affected (Jackson & Simpson, 2006). This pain is usually described as a dull pain (Jackson & Simpson, 2006). Spinal nerve root pain is localised down the leg, and usually continues below the knee and into the feet (Jackson & Simpson, 2006). It has been d...
Rixe JA, Glick JE, Brady J, Olympia RP. A review of the management of patellofemoral pain syndrome. The Physician And Sports Medicine. 2013;09:2023
Mrs. D. was admitted to the unit in 2011. She is 84 years old widow who was diagnosed with dementia, diabetes mellitus type II, hypertension, high cholesterol
The current patient may be experiencing a range of traumatic injuries after his accident, the injuries that the paramedic will focus on are those that are most life threatening. These injuries include: a possible tension pneumothroax or a haemothorax, hypovolemic shock, a mild or stable pelvic fracture and tibia fibula fracture. A pneumothorax is defined as “the presence of air or gas in the plural cavity which can impair oxygenation and/or ventilation” (Daley, 2014). The development of a pneumothorax to a tension pneumothorax can be caused from positive pressure ventilation.
Young, D. L., Moonie, S., & Bungum, T., (2012, January). Cross-sectional examination of patient and